AUTHORIZATION FORM TO COLLECT THE CONVOCATION ITEMS

Date:
Examinations and Records Unit (ERU)
Multimedia University.
Dear Sir / Madam
LETTER OF AUTHORIZATION FOR THE COLLECTION OF CONVOCATION ITEMS
I, .... NRIC/Passport No. ...
Student ID No.Faculty............................
am unable to collect my Convocation Items due to the following reason(s):
...
..
I hereby authorize....
to collect on my behalf.

NRIC/Passport No. ..

I fully understand and agree to be solely responsible for the following situations, during transmission through
my abovenamed authorised person:
(1) I will NOT be entitled to re-claim all items issued to my authorized person from the University
(2) I AGREE and CONFIRM that I will NOT hold Multimedia University responsible for any damage, loss or
misplacement of the said document(s)
I hereby enclose for your reference and retention:
One photocopy of my authorized persons NRIC/Passport
Thank you.
Yours sincerely

(Signature)
Telephone/Mobile No. :

IMPORTANT NOTES:
Graduates are to COMPLETE and SIGN this form. Only ORIGINAL COMPLETED AUTHORISATION FORMS will be
accepted.
GRADUATES WHO ATTENDED CONVOCATION: You are required to return the Convocation Attire (Robe)
before you can collect your Convocation Items.
THE UNIVERSITY RESERVES THE RIGHT NOT TO ISSUE THE CONVOCATION ITEMS TO AN AUTHORISED
PERSON OF THE STUDENT IF THE UNIVERSITY IS OF THE OPINION THAT THE
AUTHORISATION FORM IS INCOMPLETE FOR ANY REASON WHATSOEVER INCLUDING BUT NOT RESTRICTED
TO CONFLICTING OR UNCLEAR DETAILS OR VARIATION FROM UNIVERSITY RECORDS.